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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code, and my license is in full force and effect.
51GNATUM MATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the toll owing reason:
(See. 701.5, Buslness end Professions Cody: Any city or county which requires a permit to construct,
offer, improve, demolish, orrepair any structure, prior to N7Issuance afsb requires the appplicant for
such ❑em1ft to file a signedslatomant that he is licensed pursuant to the provisions of the Confrec-
rot's License Law, Chapter 9 (commencing wlth Sectforr 70D6) of Division 3 of the Business and
Prolessions Code, or that he is exempt Iherelrom, and the basis for ltho alleged exemption. Any
vlolsfion of Seddon 7031.5 by any applicant fora permit subjects the applicant to a clvll penally of
not more than five hundred dollars ($500).
01. as owner of the propett}, or my employees with wages as their sole campensahon, will do
the work, and the structure Is not Intended or dffarvd for sale, (Sec" 70", business and Profes-
sions Cade. The Confraclor's License Lew does not epply to on owner of property who builds or
improves thereon end who does such work himselror Through his own employees, provided Thal
such improvements we not intended Or offered for sale, IL however, the bul7ding or improvement
is sold within om year of completion, the owner -builder will have Me burden of proving that he did
not build or improve for the purpose of sale),
Q I, as owner of the property, am exclusively contracting with licensed Contractors to construct the
project. (Sec. 7044, 8uslnow; and Prolessions Code: The Conlraclor's Lfcense Law does not sppty
to an owner of pro
parYy who builds ur improves thereon, and who contracts tar such projects with
a cantraclar(s) trcadsea pursuer! fo the Conlractor's License Low,)
❑ 1 am exempt under Sec. B. & P.C, for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or lass).
certify that in the performance of the work for which this permit is issued, I shall not employ
any person in any manner so as to become subject to Workers' Compensation Laws of California.
Date Owner
NOTICE TO APPLICANT.. Il after making [his Cerfificalo or Exemption you should become
subject to rile Workers' Compensation provisiors.of the Labor Code, you must forthwith
comply with such provisions of this permit shall be deemed revoked"
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read thispplica n anvd�ls4 that the above information is correct.
i agree to comply wit I city nd Doan y[ aid" an sand slate laws relating to building
construction, and hereh thvrl repr entati s of this city Iv entor the abinve-mentioned
property for InspecFion pu es"
Mailing Address
City, State, Zip
WHITE = BUILDING DEPARTMENT
��
r
,1504
TAMPICO
FORNIA 92253
APPLICATION ONLY
BUILDING: TYPE CONST. OCC. GFIR
A.P. Number _721 - ❑LS - 01 1
Legal Description \V • D_0`�
Project Description
Sq. Ft. l
Size
New
No. No. Dw.
S Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
ConSt.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Drivewav Enc.
TOTAL
CONTACT INFORMATION
NAME:
PHONE:
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line —
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line —
FINAL DATE
Issued by:
Validated by:
Validation:
YELLOW = APPLICANT
INSPECTOR
Date Permit
PINK = FINANCE
TWY 4.fw4ubrw
DESIGN AND DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7125 FAX (760) 777-7011
May 11, 2016
Pepe Builds, LLC
c/o Joseph Arsanto
PO Box 447
La Quinta, CA 92247
Dear Mr. Arsanto:
Please be advised the address for your property at APN: 774-065-011, Legal
Description: Lot 13, Block 204, Unit 20 of Santa Carmolita at Vale La Quinta, has
been corrected due to the orientation of the garage and the vehicular access
point. The address 77-960 Calle Monterey as previously assigned is now 53-240
Avenida Navarro.
This change will affect building permits BRES2015-0459 for the construction of
the Single -Family Dwelling and BWFE2016-0074 for the construction of the site
Perimeter Walls. You may pick up corrected permit information and job cards by
contacting the Customer Service Center at (760) 777-7125 and scheduling an
appointment.
A copy of this letter will be transmitted to the Riverside County Assessor's Office
along with copies of the corrected referenced building permits. Please use this
letter for all other verifications that may be necessary with the utility
companies that serve your property.
Thank you.
Sincerely,
A, G_��
AJ Ortega, Plans Examiner / Inspection Supervisor
City of La Quinta I Design and Development Department
Direct 760.777.7018 1 Fax 760.777.7011
aortecici@ia-quinta.org
78-495 Calle Tampico I La Quinta I California 92253 1 760.777.7000 1 www.La-Quinta.org
Date:3/17/2016
No.: 16-00157-1
Owner: Pepe Build, LLC
Ad d ress:
City:
Type: Single Family Residential
Lot # Street No.
77960
Comments:
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
,N•�+Fb s
47950 Dune Palms Road
eoy'o
"' UCF 1E b
�'
La Qunita, CA 92253
-,a;'
(760)771-8515
Email:
Jurisdiction: La Quinta
Tract #:
Street Name Sq. Feet APN Permit No.
Calle Monterey 1725 774-065-011
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation) or replacement
mobile homes. It has been determined that the above -named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $3.36 X 1725 S.F. or $5,796.00 have been paid for the property listed above and that building
permits and/or Certificates of Occupancy for this square footage in the proposed project may now be issued.
Fees Paid By: CC Rabobank - Ish Coronel Check No.: 008005927
Bank Name/Recipient of Certificate Telephone: 760-578-3367
Funding: Residential
By Dr. Gary Rutherford
Superintendent
Fee Collected/ Exempted by: Sharon McGilvrey Amount Due: $5,796.00
�� Original Payment(s) Rec'd: $0.00
New Payment Res'& $5,796.00
Over/ Under: $0.00
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90-day approval period in which you may protest the fees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.
EsGil Corporation
In Partnership with Government for Building Safety
DATE: 01/07/ 16
JURISDICTION: La Quinta
❑ APPLICANT
;YJLIRIS.
❑ PLAN REVIEWER
❑ FILE r. 1` j11D
PLAN CHECK NO.: BRE52015-0459
PROJECT ADDRESS: 3AN 0 7 201b
PROJECT NAME: STRUCTURAL ONLY SFD/GARAGE for)PE-Nui CITY �gIL0, A
COMMUNITT Y DEVELUAMENT
❑ The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
® The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
❑ The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
U The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
❑ The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
❑ The applicant's copy of the check list has been sent to:
® EsGil Corporation staff did not advise the applicant that the plan check has been completed.
❑ EsGil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted:
Date contacted: —
Mail Telephone
Telephone #:
(by: X) Email:
Fax In Person
® REMARKS: Site walls not apart of this permit per cover sheet. Structural sheets to be signed by
the engineer of record.
By: Ray Fuller Enclosures:
EsGil Corporation
❑ GA ❑ EJ ❑ MB ❑ PC (E) 12/29/15
9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-] 576
Building Permit Number.
Project Description: SFR
Exempt: ❑
(Materials may contain hazardous wastes and
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date 3/1/2016
Job Site
Owner's Name
Number, Street, or PO Bo),
City, State, Postal Code
Owner's Phone Number
Owners E-Mall Address
Project Manager's
Project Managers Phone N
Project Manager's E-mail Ai
Builder / Contn
Number, Street or PO
City, State, Postal C
Project Square
77-960 Calla Monterey
Pepe Builds
P.O. Box 447
La Quints, Ca. 92253
760-775-1234
Coronel Enterprises
760-775-1234
mmoelofflce(dlcoronelent com
Coronel Enterprises
42760 Madlo St
Indio, Ca. 92201
1725 sq feet
City Approval By '4 �► r -}��
Date of City Approval Q31 11 D (1 1(o
To Be Discarded:
Product
Trash
Asphalt
Brick/Block
Cardboard
Commingled
Concrete
Drywall
Donated / Reuse•
'Describe Items
Tons
8.00 Not recyclable
0.00 Recyclable
0.00 Recvclable
1�7:66
Recyclable
Recyclable
Recyclable
Recyclable
totals: Recvcle Trash
Product
Tons
Masonry (broken)
0.00
Plaster
1.75
Scrap Metal
0.00
Tile (floor)
0.00
Tile (roof)
0.25
Wood
2.75
Landscape Debris
0.00
ProJected Diversion•
• fi0.98°/e
I understand It Is the property owner's responsibility to submit coples of weight tickets or receipts to the DIstrict
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherence of the
Debris Menegement Plan (DMP) for the above named project shall guarantee that al least 50% of thejobsite waste is
diverted from landfflling. The remaining material will be recycled or reused. I will divert, for recycling or reuse, remaining
materials generated from the first day of the project through the comp let€on of the project In accordance with this plan. This
OMP is Issued In the name of the Property owners) and shall remain their property Ill roughout the construction andlor
dern Millen project. A contractor serving as agent of the owner may obtain a OM for the Owner. However, the DMP Is still
Issued In the name of the property owner(s) and the owner retains legal responstbiiity for ensuring that the provisions of the
DMP are adhered to. The property owners) ant€ general cord ractor shall be kept Informed of the diversion progress through
bi-month ly reports. If self -hauling, all refuse material from this project site must be taken to an approved recycle or transfer
Owner / Developer / Project Manager 15uperintendant Date